Provider Demographics
NPI:1063185718
Name:AMERICARE 2 PHARMACY LLC.
Entity type:Organization
Organization Name:AMERICARE 2 PHARMACY LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:TRISSIE
Authorized Official - Middle Name:D
Authorized Official - Last Name:NGUYEN
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:856-356-2480
Mailing Address - Street 1:5115 ROUTE 38 WEST, UNIT P
Mailing Address - Street 2:
Mailing Address - City:PENNSAUKEN
Mailing Address - State:NJ
Mailing Address - Zip Code:08109
Mailing Address - Country:US
Mailing Address - Phone:856-356-2480
Mailing Address - Fax:
Practice Address - Street 1:5115 ROUTE 38 WEST, UNIT P
Practice Address - Street 2:
Practice Address - City:PENNSAUKEN
Practice Address - State:NJ
Practice Address - Zip Code:08109
Practice Address - Country:US
Practice Address - Phone:856-356-2480
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:AMERICARE 2 PHARMACY LLC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-07-28
Last Update Date:2021-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy